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Marat Nadirovich Shamsutdinov, MD
Child & Adolescent Psychiatry Physician in Reseda, California
NPI 1578976981

Marat Nadirovich Shamsutdinov is a Child & Adolescent Psychiatry Physician based in Reseda, CA and is specialized in Child & Adolescent Psychiatry. Marat Nadirovich Shamsutdinov practices in Reseda, CA and has the professional credentials of MD. The NPI Number for Marat Nadirovich Shamsutdinov is 1578976981 and holds a License No. 278379-1 (California).

The current practice location address for Marat Nadirovich Shamsutdinov is 18040 Sherman Way, Reseda, CA and can be reached out via phone at 818-758-1236.

Location: 18040 Sherman Way, Reseda, CA, 91335-4631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578976981
Provider Name
Marat Nadirovich Shamsutdinov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18040 Sherman Way, Reseda, CA, 91335-4631
Phone Number
818-758-1236
Fax Number
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18040 Sherman Way
City
Reseda
State
California
Zip
91335-4631
Phone Number
818-758-1236
Fax Number
person
Provider Business Mailing Address Details
Address
18040 Sherman Way
City
Reseda
State
California
Zip
91335-4631
Phone Number
818-758-1236
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
MD453570 (Pennsylvania)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
278379-1 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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